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Recognition and Attitudes on DNR of College Students (Focused on Comparison between Nursing and Non-Health Department College Students)

DNR에 대한 대학생들의 인식 및 태도(간호대학생과 비 보건계열대학생 비교를 중심으로)

  • Kim, Sung-Mi (Department of Nursing, Daegu Science College)
  • Received : 2010.11.04
  • Accepted : 2010.12.17
  • Published : 2010.12.31

Abstract

The object of this descriptive survey research was to provide basic information source for building objective standards of DNR (Do Not Resuscitate) that can be clinically applied, by analyzing college students' awareness and attitude toward DNR. The participants of the study were 1,267 students from one college of Daegu, South Korea. The structured survey questionnaire was used for data collection, and the survey was conducted from 1-31 July, 2010. The error and percentage was estimated by SPSS 17.0 program, and analyzed with $x^2$-test. As a result of comparing the nursing students' and non-health care major students' awareness and attitude toward DNR, the significant differences were found in the necessity of DNR, reason for supporting DNR, reason for opposing DNR, and DNR decision-maker, among the awareness dimension; among the attitude dimension, significant differences were found in implication of family DNR and self-DNR. Comparing the nursing students' and non-health care major students' awareness toward DNR related information provision, researchers have found significant differences in the necessity of giving information on DNR, timing of the DNR information provision, result of the DNR-related information provision, and guidelines for the DNR information provision. In terms of the difference in DNR's necessity recognition by the demographic information, the significant differences existed based on the religion and the history of blood donation; in terms of the differences in attitude toward DNR decision-maker, the differences were found on the religion and the number of siblings. For the attitude toward family member's DNR, the significant differences existed for the sex, age, economic status, religion, the number of siblings, the history of familial illness and death, and experience of blood donation; the attitude toward the DNR for the self was significantly differed by the sex, economic status, the number of siblings, and the history of familial illness and death. To establish the standards for DNR based on the study, we suggest more well-designed future studies.

Keywords

DNR;Recognition;Attitude

Acknowledgement

Supported by : 대구과학대학

References

  1. Wilson,D.M. . Highlighting the Role of Policy in Nursing Practice Through a Comparison of "DNR" policy Influences and "NO CPR" Decision Influences. Nursing Outlook, 44(6), 272-279. 1996. https://doi.org/10.1016/S0029-6554(96)80083-2
  2. 손명세, "치료중단의 윤리문제와 법적장치". 대한의사학회지. 4(7), 707-711. 1998.
  3. 장상옥. 중환자실 DNR(Do-Not-Resuscitate)환자가족의 경험과 DNR결정 후 간호 및 치료의 변화. 경상대학교대학원간호학과 석사학위논문. 2000.
  4. 김상희, "말기환자의 DNR(Do-Not-Resusciate)의 결정에 대한 고찰". 간호학탐구, 석사학위논문: 연세대학교 대학원. 8(2), 80-90. 1999.
  5. Turner, J. S., Michell, W. L., Morgan, C. J., & Benatar, S. R.. Limitation of life support : frequency and practice in a London and a Cape Town ICU. Intensive Care Med., 22, 1020-1025. 1996. https://doi.org/10.1007/BF01699222
  6. Jayes, R.L., Zimmerman. J.E., Wagner, D.P., Knaus. W.A., DNR orders in the ICU: current practice and Recent change, Journal of the American Medical Association 270(18), 2213-2217, 1991.
  7. 김선옥, "중환자실에서의 치료중단 특성 분석". 연세대학교 보건대학원 석사학위논문. 1999.
  8. 한나영, 윤홍주, 박일환, 정유석, 유선미. 좋은 죽음에 대한 노인들의 인식. 가정의학회지, 23(6),769-777. 2002.
  9. 이미희, 심폐소생술 금지(DNR)에 대한 노인들의 태도와 우울 및 자아존중감과의 관계, 석사학위논문, 중앙대학교. 2006.
  10. 안은숙, "임상간호사의 윤리적 가치관과 윤리적갈등에 관한 연구". 이화여자대학교 석사학위논문.1994.
  11. 한성숙, 간호사들이 임상에서 경험하는 윤리적 딜레마의 실상과 의사결정에 관한 연구. 서울대학교 박사학위논문. 1992.
  12. 유순규, 정지연, 신상열, 최유임, 최혜경, "119구급대원의 심폐소생술 비 시행(DNR)과 관련된 윤리문제 인식 및 태도". 한국산학기술학회지.10(12), 3931-3942. 2009. https://doi.org/10.5762/KAIS.2009.10.12.3931
  13. 한성숙, 정순아, 문미선, 한미현, 고규희. DNR에 대한 간호의 인식 및 태도조사, 간호행정학회지 7(3), 403-414. 2001.
  14. 강현임, "심폐소생술 금지에 대한 간호사와 의사의 인식과 경험", 한림대학교대학원 석사논문. 2003.
  15. 전명희. 노인의 심폐소생술 비 시행(DNR)에 대한 간호사의 인식, 한양대학교 임상대학원 석사학위논문. 서울. 2008.
  16. 양진향, 이연정, 하상련, 홍진아, "심폐소생술금지에 대한 간호사와 의사의 인식과 경험". 인제논의, 20(1), 647-662, 2005.

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